Active NPI
Gabriel Rizzo, DC, CFMP, ABAAHP
- Chiropractor
- Crestview, FL
National Provider Identifier
1568944064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12562
- Practice address
- 1133 Industrial Dr
Crestview, FL 32539-8950 - Phone
- (870) 623-4958
- Fax
- (850) 331-6425
- NPI assigned
- Aug 30, 2018
- Last updated
- May 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12562 | FL | Primary |
| Internist Chiropractor | 111NI0900X | 12562 | FL | |
| Nutrition Chiropractor | 111NN1001X | 12562 | FL | |
| Sports Physician Chiropractor | 111NS0005X | 12562 | FL |
Addresses
Primary practice location
1133 Industrial Dr
Crestview, FL 32539-8950
Mailing address
1133 Industrial Dr
Crestview, FL 32539-8950
Phone (870) 623-4958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12562 | FL | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Spine Crestview LLC | Chiropractor | Current | Accepting new patients |
Locations
610 Hospital Dr
Crestview, FL 32539
Phone (850) 460-2362
981 Highway 98 E
Ste 9
Destin, FL 32541
Phone (850) 460-2362
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Crestview, FL
- NPI 1881152353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1568944064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 INDUSTRIAL DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325398950",
"telephone_number": "870-623-4958",
"fax_number": "850-331-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 INDUSTRIAL DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325398950",
"telephone_number": "870-623-4958",
"fax_number": "850-331-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "DC, CFMP, ABAAHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-30",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12562",
"primary": true
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "FL",
"license": "12562",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "12562",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "12562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.